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Tracy Marie Dietz, FNP
Family Nurse Practitioner in Alton, Illinois
NPI 1477941938

Tracy Marie Dietz is a Family Nurse Practitioner based in Novi, IL and is specialized in Family. Tracy Marie Dietz practices in Alton, IL and has the professional credentials of FNP. The NPI Number for Tracy Marie Dietz is 1477941938 and holds a License No. 209.011378 (Illinois).

The current practice location address for Tracy Marie Dietz is 3523 Wickenhauser Ave, Alton, IL and can be reached out via phone at 618-465-8887.

Location: 3523 Wickenhauser Ave, Alton, IL, 48375-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477941938
Provider Name
Tracy Marie Dietz
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3523 Wickenhauser Ave, Alton, IL, 48375-5510
Phone Number
618-465-8887
Fax Number
Provider Enumeration Date
01/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3523 Wickenhauser Ave
City
Alton
State
Illinois
Zip
62002
Phone Number
618-465-8887
Fax Number
person
Provider Business Mailing Address Details
Address
3523 Wickenhauser Ave
City
Alton
State
Illinois
Zip
62002
Phone Number
618-465-8887
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.011378 (Illinois)
Definition
Definition to come...
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